Provider Demographics
NPI:1396104188
Name:TASKER, SABRINA CASSANDRA (LCSW-C)
Entity type:Individual
Prefix:MRS
First Name:SABRINA
Middle Name:CASSANDRA
Last Name:TASKER
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:MRS
Other - First Name:SABRINA
Other - Middle Name:CASSANDRA
Other - Last Name:SHAFFER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:948 SECOND AVE
Mailing Address - Street 2:
Mailing Address - City:FRIENDSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21531-2062
Mailing Address - Country:US
Mailing Address - Phone:304-435-8892
Mailing Address - Fax:
Practice Address - Street 1:21287 GARRETT HWY STE 200
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:MD
Practice Address - Zip Code:21550-7370
Practice Address - Country:US
Practice Address - Phone:304-435-8892
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-22
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD139761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical